ENTERPRISE INTEGRATION ENGINE

FOR LARGE SCALE

INTEROPERABILITY

FEATURING MIKE WALLACE,Director CORE Clinical Platforms/Enterprise Application Integration,

Catholic Health Initiatives

Page 2 • 2016 © Orion Health™ group of companies

What We Will Cover In This Webinar

▸ Introduction by Harish Panchal

▸ Drivers by Mike Wallace

▸ Large Scale Implementation by Mike Wallace

▸ Monitoring and Management of Instances by Mike Wallace

▸ Reliability by Mike Wallace

▸ Intelligent Integration Engine by Harish Panchal

▸ Q&A all

Page 3 • 2016 © Orion Health™ group of companies

Mike Wallace

Director CORE Clinical

Platforms/Enterprise

Application Integration

Harish Panchal

Vice President

Intelligent Integration

Our Experts

Page 4 • 2016 © Orion Health™ group of companies

Enterprise Implementation of Rhapsody | HL7

Front Desk

Register new patient (ADT)

Schedule procedure (SIU)

Order Medication (ORM)

BillingDepartmental system

(Lab, PACS, ICU, etc.)

Register pharmacy given (RGV)

Sto

re d

iagnostic r

eport

(O

RU

)

Paramedic

HIS / EMR

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Welcome to the new realities!

We need to deliver FASTER,

BETTER, CHEAPER…

Drivers | The New Realities

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Drivers | The New Realities

• Leverage existing interfaces

• Retention ofknowledge

• Leverageknowledge

• Eliminate Multiple Platforms

• DisasterRecovery

• Experience through Migration

• SDLC – Rhapsody changes

• Security ofenvironment

• Access restrictions

• Length of time to develop

• Contractors vs FTEs

• 4,000 existing interfaces

• 1000’s acquisition interfaces

• PRD, UAT, TST andDEV

• Standardized testing

• Redundancy

• LeverageStaff

• Real-Time Data

• MeaningfulUse

• Storage to Data Lake

• FHIR

Future Planning

FA S T E R , B E T T E R , C H E A P E R

ConsistencyDevelopment

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Drivers | Unavoidable Migration

• Leverage investment

• Leverage staff

• Leverage Disaster Recovery

• Leverage data

Page 8 • 2016 © Orion Health™ group of companies

Drivers | Migration of Legacy Engines | eGate

• 4,000 interfaces rationalized to 2500

• 9 eGate engines

• Logical grouping of interfaces

• Pseudo-code / Rhapsody coding

• Partnering

• INBOUND first, OUTBOUND later

• Move by application vs by engine

• Migration SDLC

• Importance of project manager

Page 9 • 2016 © Orion Health™ group of companies

Drivers | Migration of Legacy Engines | Engines from Acquisitions

• OpenLink

• CloverLeaf

• Ensemble

• Mirth

• Iguana

• Summit

• Others

• Migration plans in place using lessons

learned

• 30-day data - benchmarking

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Large Scale Implementation | Environment

19

P

R

D

U

A

T

D

E

V

T

S

T

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fxc

Large Scale Implementation | Environment

Common Services

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Large Scale Implementation | Disaster Recovery

EMC VNX SAN Array EMC VNX SAN Array1001101001011010...

Brocade DCX

SAN Switch A

Brocade DCX

SAN Switch A

Brocade DCX

SAN Switch ABrocade DCX

SAN Switch A

Cisco Nexus

Network Switch A

Cisco Nexus

Network Switch ACisco Nexus

Network Switch B

Cisco Nexus

Network Switch B

Cisco Fabric Inter. A Cisco Fabric Inter. B Cisco Fabric Inter. A Cisco Fabric Inter. B

Disaster

RecoveryPower SupplyPower Supply Power Supply

B200 M3 A B200 M3 C

B200 M3 B B200 M3 D

B200 M3 C

B200 M3 B

B200 M3 D

B200 M3 A

UCS Chassis A UCS Chassis B

STRETCHED

NETWORK VLAN

Page 13 • 2016 © Orion Health™ group of companies

▸ Acquisitions – culture

▸ SDLC

▸ TCoE

▸ ApplicationTeams

▸ EPMO

▸ ChangeRequests

▸ DemandManagement

▸ AMS

▸ Wipro

Large Scale Implementation | Environment

Page 14 • 2016 © Orion Health™ group of companies

Monitoring and Management of Instances

• ENIGMA - Enterprise Network Integration

Global Management Application

• Enterprise Wide Monitoring tool

• Provides single panel view of all CHI

Integration engines

• Used with Rhapsody WMC

Page 15 • 2016 © Orion Health™ group of companies

Reliability | Failover

PRODUCTION FAILOVER

Page 16 • 2016 © Orion Health™ group of companies

Reliability | Uptime

ENGINE LAST 365 DAYS LAST 30 DAYS 1/09/17 1/10/17 1/11/17 1/12/17 1/13/17 1/14/17 1/15/17

AR 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

CO 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

CS 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

fxc 99.9931% 99.9498% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

IA 99.9992% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

IN 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

KY 99.9984% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

KY2 99.9980% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

MN 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

ND 99.9981% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

NE 99.9992% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

NE2 99.7274% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

NJ 99.9999% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

OR 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

PA 99.9981% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

TN 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

TX 99.9993% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

WA 99.9979% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

Intelligent Enterprise Integration

Page 18 • 2016 © Orion Health™ group of companies

Point

to

Point

Message

Driven

Networks

Service

Oriented

Architecture

API

IoT

Microservices

Pre 1990 1990s 2000s Today

Traditional

Healthcare

Integration

WE LIVE IN A CONNECTED SOCIETY

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Scalable Reliable Secure Fast Tools

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Social Data

Environment

Device Data

Transcriptome

Proteome

Epigenetic

Metabolome

Microbiome

Genome

Imaging

Clinical Data

Rhapsody | Intelligent Enterprise Integration

▸ Intelligent Mapper helps manage change in integration

architecture, adapt to new models of care, and control

quality

▸ Advance Filter speeds up the migration process

▸ Cloud Hosting complements large EMRs for more BI

2Tb of Data

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Rhapsody | Intelligent Mapper

▸ Change is the one constant

▸ Dealing with change can be

complex, you don’t know

what you don’t know

▸ Intelligent Mapper analyzes

sample set of source and

target messages

▸ Developers can visualize

changes in mapping logic

with a use of comparison

reports

Work smarter

Page 22 • 2016 © Orion Health™ group of companies

Rhapsody | Intelligent Filter Speeds Up your Migration Process

▸ Intelligent Filter provides tight

integration between a Intelligent

Mapper project and Rhapsody

route

▸ Code generated can be cut an

pasted into any JavaScript

component

Work smarter

Page 23 • 2016 © Orion Health™ group of companies

SaaS Operation | Integration in the Cloud

• Service Manager owns the

service

• Service Manager is the single

point of contact for customers

• Service Manager coordinates

monthly service reviews

• Service Manager is the authority

over production changes

• Service Manager serves up to

5 customers

Service

Management

Page 24 • 2016 © Orion Health™ group of companies

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? ?

Question & Answer